If you’re a medical assessor appointed by SIRA under the Motor Accidents Compensation Act 1999, and are assessing a claim as a result of an accident prior to 1 December 2017, use these guidelines and other documents to ensure you provide accurate and consistent medical assessments.
Medical assessors must be appointed by Dispute Resolution Services (DRS) and listed on our website.
Medical assessors must follow the:
- medical assessment guidelines
- permanent impairment guidelines
- code of conduct
- terms of engagement
- fee schedule
The Motor Accidents Medical Assessor Guidance Notes are currently being updated to incorporate the:
- Motor Accidents Permanent Impairment Guidelines effective from 1 June 2018 (that apply to motor accidents that occurred between 5 October 1999 and 30 November 2017), and the,
- Motor Accident Guidelines Version 3 effective from 13 July 2018 Part 6: Permanent Impairment (that apply for accidents that occurred on and after 1 December 2017).
Please contact wpienquiryMAIR@sira.nsw.gov.au or call 1300 656 919 for assistance relating to the Guidance Material.
Specific injuries information
We also issue guidance material for medical assessors to use in assessing specific injuries:
- Brain injury assessment fact sheet
- information for the injured person on neuropsychological assessments
Minor skin injuries
Minor dental injuries
Periorbital injury involving minor scarring or disfigurement
Spine and consequential injuries
Judgment of the Supreme Court Nguyen v the Motor Accident Authority of NSW & Zurich Australian Insurance Ltd  NSWSC 351.
This judgement was handed down by the Supreme Court of NSW and amended the longstanding approach taken in medical assessments in relation to permanent impairment of the shoulders arising from an injury to the neck caused by a motor crash. The Court has interpreted how the Act and Motor Accident Permanent Impairment Guidelines should be applied and all Medical Assessors must adopt that interpretation when conducting assessments.
Medical assessors should use the medical examination assessment examination checklist in documenting all the clinical findings specific to assessing permanent impairment of spine, upper and lower extremity, and nervous system.
Assessment of resection arthroplasty
Issued on May 2015, Guidance Note 9 was removed because The AMA 4 Guides Table 27 (page 61) indicates that some resection arthroplasties are designated ‘isolated’. There is no definition of the meaning of 'isolated' in the context of Table 27 but the implication appears to be that the impairment rating for a resection arthroplasty is not applicable if the resection arthroplasty is part of a more complex procedure.
Guidance notes are issued primarily to provide guidance as to the clinically recommended interpretation in an area where more than one interpretation of existing provisions in SIRA may be possible.
Since publication it has become apparent that more than one clinically recommended interpretation is available and currently in use in similar jurisdictions. Accordingly SIRA is not in a position to recommend a particular interpretation as to the issue outlined in Guidance Note 9.